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Diabetic Custom Insert, Multiple Density, CAD/CAM Carved

Nationwide rates for HCPCS A5514

For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of Shore A 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each

Rates data updated July 2026.

Facilitymedian $48 · 10th–90th $31$1450%20%40%10th90th$48Professionalmedian $36 · 10th–90th $25$600%20%40%10th90th$36$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$34.67
Typical High
$51.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$42.66
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$37.15
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$37.15
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$52.48